Development and validation of questionnaire to assess knowledge, attitude and awareness about stroke among young population

Authors

  • Aakanksha A. Gujar Department of Neuro Physiotherapy, KAHER Institute of Physiotherapy, Belagavi, Karnataka, India
  • Sanjiv Kumar Department of Neuro Physiotherapy, KAHER Institute of Physiotherapy, Belagavi, Karnataka, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20251306

Keywords:

Stroke, Young population, Knowledge, Attitude and awareness

Abstract

Background: Stroke is a neurological condition which is caused by disturbed blood supply to the brain, causing mental, physical and social impairment. Stroke prevalence in young individuals is rising globally, as well as in India. The young population is still ignorant about stroke and thinks of it as an illness of the elderly. Due to lack of understanding and education about ailment, one contributing aspect maybe one's attitude towards the condition. Considering these factors this questionnaire was developed.

Method: The knowledge, attitude and awareness–questionnaire was developed and validated in 2 phases. In phase I, development and content validation of the questionnaire were done, and in phase II, a pilot study was done on the population for validation, and participants were interviewed using a self-developed questionnaire.

Results: The computed content validity index (CVI) for the questionnaire was found to be 0.92. The Cronbach’s Alpha values were determined to be 0.947, 0.909, 0.887, respectively, reflecting strong internal consistency. The overall benchmark is 0.95 which is statistically excellent for validity of outcome

Conclusion: The KAAS-SYP, designed to evaluate knowledge, attitude, and awareness about stroke among young populations, demonstrated statistically robust content validity and excellent reliability. While the young population shows an understanding of the term "stroke," there is limited awareness of its risk factors and warning signs. Furthermore, their attitude towards stroke tends to be less positive, highlighting the need for targeted educational and awareness initiatives.

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References

Guidelines for Prevention and Management of Stroke by Government of India. 2019.

Narayan DP, Biradar SV, Reddy MT, Bk S. Assessment of knowledge and attitude about basic life support among dental interns and postgraduate students in Bangalore city, India. World J Emerg Med. 2015;6(2):118. DOI: https://doi.org/10.5847/wjem.j.1920-8642.2015.02.006

Jones SP, Baqai K, Clegg A, Georgiou R, Harris C, Holland EJ, et al. Stroke in India: A systematic review of the incidence, prevalence, and case fatality. Int J Str. 2022;17(2):132-40. DOI: https://doi.org/10.1177/17474930211027834

Adusumilli D, Syed S. Community stroke awareness: knowledge, attitude, and health-seeking behavior of adults in an urban slum of Hyderabad, India. Int J Med Sci Public Health. 2018;7(10):848-53. DOI: https://doi.org/10.5455/ijmsph.2018.0720313072018

Gorthi SP, Garg D. Stroke epidemiology among young persons in India: Every step counts. Annals of Indian Academy of Neurology. 2022;25(1):45-8. DOI: https://doi.org/10.4103/aian.aian_935_21

Namaganda P, Nakibuuka J, Kaddumukasa M, Katabira E. Stroke in young adults, stroke types and risk factors: a case control study. BMC neurology. 2022;22(1):335. DOI: https://doi.org/10.1186/s12883-022-02853-5

Hussain A, Lee M, Rana J, Virani SS. Epidemiology and risk factors for stroke in young individuals: implications for prevention. Current opinion in Cardiol. 2021;36(5):565-71. DOI: https://doi.org/10.1097/HCO.0000000000000894

Singhal AB, Biller J, Elkind MS, Fullerton HJ, Jauch EC, Kittner SJ, Levine DA, Levine SR. Recognition and management of stroke in young adults and adolescents. Neurol. 2013;81(12):1089-97. DOI: https://doi.org/10.1212/WNL.0b013e3182a4a451

van Alebeek ME, Arntz RM, Ekker MS, Synhaeve NE, Maaijwee NA, Schoonderwaldt H, et al.. Risk factors and mechanisms of stroke in young adults: the future study. J Cereb Blood flow Metabol. 2018;38(9):1631-41. DOI: https://doi.org/10.1177/0271678X17707138

Agustiyaningsih T, Nur Rohmah AI, Azizah L. Factors Affecting the Incidence of Stroke at a Young Age: A Philosophical Perspective. Med Rxiv. 2022;17:237. DOI: https://doi.org/10.1101/2022.07.14.22277618

Setiawan Y. Faktor–Faktor yang Berhubungan dengan Kejadian Stroke Pada Usia Muda di Ruang Wijaya RSUD Kota Bekasi. J Ilmiah Keperawatan. 2018;7(1):56. DOI: https://doi.org/10.37063/jurnalantarakebidanan.v1i4.114

Yaslina Y, Maidaliza M, Hayati I. Pengaruh Pemberian Discharge Planning Terhadap Kemampuan Keluarga Dalam Perawatan Pasca Stroke Di Rumah Tahun 2019. J Kesehatan Perin. 2019;6(1):54-9. DOI: https://doi.org/10.33653/jkp.v6i1.240

Reddy V, Wurtz M, Patel SH, McCarthy M, Raval AP. Oral contraceptives and stroke: Foes or friends. Front Neuroendocrinol. 2022;67:101016. DOI: https://doi.org/10.1016/j.yfrne.2022.101016

Tsang S, Royse CF, Terkawi AS. Guidelines for developing, translating, and validating a questionnaire in perioperative and pain medicine. Saudi J Anaesth. 2017;11(1):80-9. DOI: https://doi.org/10.4103/sja.SJA_203_17

Bai Y, Li J, Bai Y, Ma W, Yang X, Ma F. Development and validation of a questionnaire to evaluate the factors influencing training transfer among nursing professionals. BMC Health Ser Res. 2018;18:1-9. DOI: https://doi.org/10.1186/s12913-018-2910-7

Marzuki MF, Yaacob NA, Yaacob NM. Translation, cross-cultural adaptation, and validation of the Malay version of the system usability scale questionnaire for the assessment of mobile apps. JMIR human factors. 2018;5(2):10308. DOI: https://doi.org/10.2196/10308

Lau AS, Yusoff MS, Lee YY, Choi SB, Xiao JZ, Liong MT. Development and validation of a Chinese translated questionnaire: A single simultaneous tool for assessing gastrointestinal and upper respiratory tract related illnesses in pre-school children. Journal of Taibah University Med Sci. 2018;13(2):135-41. DOI: https://doi.org/10.1016/j.jtumed.2017.11.003

Ozair MM, Baharuddin KA, Mohamed SA, Esa W, Yusoff MS. Development and Validation of the Knowledge and Clinical Reasoning of Acute Asthma Management in Emergency Department (K-CRAMED). Educ in Med J. 2017;9(2):78. DOI: https://doi.org/10.21315/eimj2017.9.2.1

Vrudhula A, Zhao J, Liu R. Too Young to Have a Stroke: a Global Health Crisis. Stroke and Vascular Neurology. 2019;4(4)88-9. DOI: https://doi.org/10.1136/svn-2019-000295

Thapa L, Sharma N, Poudel RS, Bhandari TR, Bhagat R, Shrestha A, Shrestha S, Khatiwada D, Caplan LR. Knowledge, attitude, and practice of stroke among high school students in Nepal. J Neurosci Rural Pract. 2016;7(4):504-9. DOI: https://doi.org/10.4103/0976-3147.188635

Pandian JD, Kalra G, Jaison A, Deepak SS, Shamsher S, Singh Y, et al. Knowledge of stroke among stroke patients and their relatives in Northwest India. Neurol India. 2006;54:152–6. DOI: https://doi.org/10.4103/0028-3886.27168

Yoon SS, Heller RF, Levi C, Wiggers J, Fitzgerald PE. Original Contributions-Knowledge of Stroke Risk Factors, Warning Symptoms, and Treatment Among an Australian Urban Population. Stroke-a Journal of Cerebral Circulation. 2001;32(8):1926-30. DOI: https://doi.org/10.1161/01.STR.32.8.1926

Bhat AB, Ahmed KI, Sharna RN, Barman S. Knowledge, attitude and practice regarding stroke amongst the close relatives of stroke victims at a tertiary care hospital in Bangladesh. Int J Cardiovas and Cerebrovasc Dis. 2016;4(3):35-40. DOI: https://doi.org/10.13189/ijccd.2016.040302

Das S, Hazra A, Ray BK, Ghosal M, Chaudhury A, Banerjee TK, et al. Knowledge, attitude, and practice in relation to stroke: A community-based study from Kolkata, West Bengal, India. Ann Indian Acad Neurol. 2016;19(2):221-7. DOI: https://doi.org/10.4103/0972-2327.176857

lOtaibi MK, AlOtaibi FF, AlKhodair YO, Falatah EM, AlMutairi HA. Knowledge and attitude of stroke among Saudi population in Riyadh, Kingdom of Saudi Arabia. Int J Acad Sci Res. 2017;5(1):149-57.

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Published

2025-04-29

How to Cite

Gujar, A. A., & Kumar, S. (2025). Development and validation of questionnaire to assess knowledge, attitude and awareness about stroke among young population. International Journal of Research in Medical Sciences, 13(5), 2024–2029. https://doi.org/10.18203/2320-6012.ijrms20251306

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Original Research Articles